Gold Shoe Step It Up Challenge and Park Prize Pursuit Registration

Registration earns you an entry for the Park Prize Pursuit prizes.  
All answers are voluntary and kept strictly confidential. 
 
The Park Prize Pursuit starts June 11th and lasts all summer long. Find clues at local parks and qualify for even more prizes!  Answers MUST be received by September 4th.  Each correct answer earns you an entry into a random drawing for prizes on September 11th. 

You do not need to be present to win.  Download clues here.


Check your email weekly for a secret mystery clue to earn an extra prize entry!
 
 Be sure to click the DONE button to submit your registration.

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* 1. Please tell us:

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* 2. What's your email address?  If you don't have one please give us a phone number so we can contact you if you win.  You can check our Facebook page every week for the newsletter and mystery clue.

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* 3. How did you hear about the Gold Shoe Step It Up Challenge or Park Prize Pursuit?

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* 4. In general, how would you rate your overall health?

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* 5. What is your height in total inches? For example, if you are 5 feet and 6 inches, write 66 or if 6 feet tall you would put 72.  Please round to the nearest inch.

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* 6. What is your current weight in pounds? Please round to the nearest pound.

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* 7. Do you currently smoke cigarettes, or not?

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* 8. About how many alcoholic drinks do you have each week?

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* 9. About how many times in the average week do you engage in 30 minutes of light activity (i.e. leisurely walking, gardening, cleaning around the house)?

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* 10. About how often do you eat fast food?

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* 11. About how many times in the average week do you engage in 30 minutes of moderate activity (i.e. brisk walking, light bicycling)?

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* 12. About how often do you eat at a restaurant?

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* 13. About how many times in the average week do you engage in 30 minutes of strenuous activity (i.e. running or jogging)?

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* 14. Not including juices, how often do you eat fruit per DAY? If you don’t know for certain, please provide an estimate.

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* 15. How often do you use sunscreen while out in the sun?

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* 16. How often do you eat vegetables per DAY? If you don’t know for certain, please provide an estimate.

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* 17. How often do you wear a seatbelt when in a car?

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* 18. During the past 4 weeks, how bothered did you feel by emotional problems such as feeling anxious, depressed, irritable, or sad?

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* 19. When is the last time that you saw a doctor?

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* 20. When is the last time that you saw a dentist?

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* 21. During the past 4 weeks, how supported did you feel when you wanted or needed help from others? For example, if you felt lonely and wanted to talk to someone or got sick.

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* 22. Thank you!  Click done below and you will be registered and get a prize ticket for Gold Shoe and an entry for the Park Prize Pursuit. If you would like more information on leading a healthier life please click here (opens in new window).  Be sure to check your email Mondays for our weekly newsletter/mystery clue.     Let us know if you have any questions or comments below.

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